A Qualitative Study of Surgeon Mattering and Well-Being in an Expanding Health System

Academic medical centers are undergoing significant growth which may influence surgeons' perceptions of their roles and value within these institutions. This study aimed to explore academic surgeons' perspectives on their roles and sense of value within an expanding academic medical center.

We conducted semi-structured interviews with 39 surgeons at a single academic medical center. Using a qualitative descriptive approach, we analyzed data through iterative coding and theme development.

We identified three main themes: (1) Increased administrative responsibilities with inadequate support, (2) Perceived limited influence in organizational decision-making, and (3) Importance of support from health system administration and colleagues. Surgeons interpreted administrative workload and their level of involvement in institutional decisions as key indicators of their value to the organization. Collegial support played a vital role in countering feelings of disengagement and fostering a sense of belonging.

The organizational structure of academic medical centers impacts surgeons' perceptions of their value. Addressing administrative burdens, enhancing surgeon participation in governance, and fostering supportive professional networks are potential strategies to improve morale and job satisfaction during organizational growth. Future research should focus on developing interventions to address these areas.